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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.9i 3 58-2 01d b Alterations
a rNORTHAMPTON, MASS. e-c- Jo 19__1_1 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location W l ey S�T-e e.-k Lot No.
2. Owner's name Ka�1-ln ex i n e Sacle p t I Vasa y a I F Address 7 1Ga ► S rte
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration U1n;,-yik -k kl�01en bCAA
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost- "? , )o
The undersigned certifies that the above statements are we to the best of his
knowledge and belief.
Signature of responsible app,icant
Remarks jlehA Q ds2 AA ,,rd M VA)
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DEPARTMENT OF BUILDWG INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
WLf.ift- 1 e--
pm-naittee)
with a principal place of busine residen at:
Vo( A*h D IoGgphone#) y(3 5-8 7 0)d O
(street/ci /staid2ip)
do hereby certify, under the pains and penalties of pedury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Inmuance Company) (Policy Number) (Expiration Date)
otI am a sole proprietor, general contractor orqomeown circle one) and have hired
the contractors listed below who have the following workers compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Compauy/Policy Number) (Expiration Date)
(attach additional shad ifate enuy to ioeh,.&infoc=%uon pataiaiag to all cods dm3)
( ) I am a sole proprietor and have no one working for me.
t� I am a home owner performing all the work myself.
NOTE:piece be aware that while homeowners who employ pcaons to do maiatcasace eonswxtim or mpeir wait on a dwelling of
not mote they thtos tmitt is whiehtbe homeowner resides or oa tha gr+ouads appehcteaarrt thmrdo ate cot generalty considered to be
employeYa uada the wodtees conTccutien Act(GL152.=1(5))�application by a homeowner for a Some a permit may evideaoe rho
legal statue of an employs uMertbe Wort s Compensation AcL
I understand that a copy of this cutemeod may be forwarded to the Dgmtaimt of lo&L ftial Aoaldeo&oboe of laxaaoos for the
oovesage vaTiatioa and that faih=to toowe cowaago under section 25A of MGL 151 an lad to the itapositica elaiminat ptxiaitiet
oomistitg of a fat efup to 51,300.00 and/or impsisoomerd of up to one year and civil pans tics in the foam of a Stop Work Order and a
firm of sloo.00 01Y against mG
. Foe iepaRasadalvaeenlY .
Pe — -
rmit Number__._ .
tl� d 1 019 Mapu roc#
SigaW=t:of Lioons ermittce
Pal
e Crier of wort 11nilyflail
DEPARTMENT OF BUILDIIq1G INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060 •• '
HOMEOWNER LICENSE EXEI.IPTION
( Please Print)
DATE:- I Z�do) q°)
JOB LOCATION:
(Map) ( Parcel) ( Subdivision)
HOMEOWNER: ka*eY',ne_ S 06asg O a Ir
(Name & Addres's)
11 Sf i 41? 597 0-7d0
(Home Phone) (Work Phone)
The current exemption for "homeowners" was extended to include
Owner-occupied Dwellings of one ( 1 )or two (2) families and to allow such .
homeowner to engage an individual for hire who does not possess a `
license, provided that the owner acts as supervisor. CMR780 Section 109. 1 . 1
DEFINITION 'OF. HOMEOWNER: Person(s ) who own a parcel of land on
which, he/she resides or intends to reside, on which there is, or. is
intended to be, a one or two family dwelling, attached or detached
structures accessory to such use and/or farm structures. A -person who
constructs more than 'one home in a two-year . period shall not be
considered a homeowner. • Such "homeowner" shall submit to Elie Building
Official, on a form acceptable to the Building Official, tli�Lt' he/she
shall. be responsible for all such work performed under: the. buildifiq
permit.
As acting Construction Supervisor your presence on the. J;ob site
will be .required from time to time, during and upon coftipletion- o`f the
work for which this permit is issued.
Also be advised that with reference to Chapter 152 ' (Workers '
Compensation) and Chapter 153 (Liability of Employers to Employees for
injuries not resulting in Death) of the Massachusetts General Laws
Annotated, you may be liable for person( s ) you hire to perform work for
you under this permit .
The undersigned "homeowner" certifies and assumes responsibi:li'ty
for compliance with the State Building Code , City of . Northampton
Ordinances, State and Local Zoning Laws , and State of Massachusetts
General Laws Annotated.
HOMEOWNER SIGNATURE /� i, tb 1pa,6 a Liab
BUILDING. PEIU4IT
10. Do any signs exist on the property? YES NO �(
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This —lu= to be filled in
by the Baildiaq Depazf nt:
Required i
Existing Proposed By Zoning
Lot size
Frontage °
Setbacks - frnnt
- side L• R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
Lot area minus bldg
&Paved Parking)
# of "Parking Spaces
f of Loading Docks
Fill:
{volume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: /: / �t0)q 9 APPLICANT's SIGNATURE AR AaAl& �doA UQ,Q.Q
NOTE: Issuance of a zoning permit does not relieve an applioanre burden to comply With all
zoning requirements and obtain all required permits from the Board of Health. Conservation
Commission. Department of Publio Works and other applioable permit granting authorities.
FILE #
DEC 2 01999
k F�
File No. -oo&D
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: �&A' eYI Ae ',&cke h P61sQ oa IP
Address: W e�4 ee} Telephone: q1� �g 0701 b
2. Owner of Property: So►tM 2
Address: Telephone:
3. Status of Applicant: _Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: 7 Valtc�a
Parcel Id: Zoning Map# Z C, Parcel#_ District(s): -
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 61Yla1e 4VK'k t*
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
Ske e i P o• ri nd ' feln�a�
IL:)i ndo i Q 1
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW ,�c YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW tc YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO A DON'T KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
v
File#BP-2000-0608
APPLICANT/CONTACT PERSON SACKETT PASQUALE KATHERINE
ADDRESS/PHONE 7 VALLEY STREET (413)587-0720 Q
PROPERTY LOCATION 7 VALLEY ST
MAP 32C PARCEL 304 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: REMODEL KITCHEN&BATH CABINETS,SHEETROCK&NEW FLOOR&
REPLACEMENT WINDOWS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure -
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
Z THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § _w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Co i ion
✓ 1Z
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
7 VALLEY ST BP-2000-0608
GIS#: COMMONWEALTH OF MASSACHUSETTS
AV.-Block:32C-304 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:Non structural interior renovations BUILDING PERMIT
Permit# BP-2000-0608
Project# JS-2000-1083
Est. Cost:$7000.00
Fee:$50.00 PERMISSION IS HEREBY GRANTED TO
Const.Class: Contractor: License:
Use Group
Lot Size(sg. ft.): 9931 .68 Owner. SACKETT PASQUALE KATHERINE
Zoning URC Applicant: SACKETT PASQUALE KATHERINE
AT.• 7 VALLEY ST
Applicant Address: Phone: Insurance:
ISSUED ON.•12128199 0:00:00
TO PERFORM THE FOLLOWING WORK.•REMODEL KITCHEN & BATH,
CABIN ETS,SHEETROCK & NEW FLOOR & REPLACEMENT WINDOWS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Final: Final:
Rough Frame:
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 12/28/99 0:00:00 154 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo